The nurse is inspecting the genitals of a prepubescent girl. Which is a normal sign of the onset of puberty?

A. An anxiety reaction: The toddler's behavior of sitting quietly, sucking her thumb, and turning away from the nurse when approached after her mother leaves the room suggests anxiety. These

behaviors are common signs of distress or discomfort in young children, especially when separated from their primary attachment figure (in this case, the mother).

B. Regression: Regression involves reverting to earlier, more immature behaviors in response to stress or discomfort. While thumb sucking can be considered a form of regression, the behavior observed in this scenario is more indicative of anxiety rather than a broader regression in

developmental milestones.

C. Resentment toward the mother: There is no evidence in the scenario to suggest that the toddler is expressing resentment toward the mother. The behaviors observed are more likely related to

the child's emotional response to separation and hospitalization.

D. Developing autonomy: Developing autonomy typically involves asserting independence and exploring one's environment. The behaviors observed in the scenario are more indicative of anxiety and distress rather than autonomous behavior.

To calculate the total fluid intake, add up the volume of each item consumed:
- 1⁄2 cup of juice = approximately 120 mL
- 3 oz gelatin = approximately 90 mL
- 1 oz of an ice pop = approximately 30 mL
- 20 mL ginger ale
Total fluid intake = 120 mL (juice) + 90 mL (gelatin) + 30 mL (ice pop) + 20 mL (ginger ale)
= 260 mL